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Minnesota rates for HCPCS L6884

Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,748.28 / $2,748.28 / $2,748.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.99 / $2,492.73 / $2,748.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,810.75 / $3,281.15 / $4,568.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,624.92 / $3,117.09 / $3,281.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $10,124.11 / $28,118.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,804.00 / $4,032.24 / $4,831.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,010.56 / $9,713.58 / $22,140.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,804.00 / $3,804.00 / $3,914.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.90 / $3,281.15 / $14,087.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.20 / $1,492.76 / $3,294.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.20 / $1,364.11 / $3,294.86